Scleroderma is a complex autoimmune disease that causes increased collagen production in the body, leading to skin hardening and tissue stiffness, and its effects may extend to internal organs such as the lungs, heart, and digestive system.

Although there is no single diet suitable for all patients, nutrition plays a pivotal role in alleviating symptoms and improving vital functions. According to a report published on the vinmec website, following a balanced diet rich in anti-inflammatory agents, vitamins, and proteins is a fundamental pillar in managing the disease and limiting its progression.

Doctors recommend eating small, frequent meals every three to four hours to reduce the burden on the digestive system. In cases where the patient loses weight or has difficulty consuming enough food, small meals every two hours can compensate for nutritional deficits.

It is preferable to rely on fresh, home-cooked foods while avoiding industrial or preservative-rich foods. If canned foods must be consumed, the ingredient list should be short, clear, and free of chemical additives.

Herbs rich in antioxidants are an effective means to reduce inflammation and improve blood circulation. Notable examples include basil, ginger, turmeric, cinnamon, oregano, and curry powder. It is also recommended to reduce added sugars such as sucrose, fructose, and corn syrup due to their negative effects on immunity and chronic inflammation.

In some cases, patients may need vitamin and mineral supplements to compensate for absorption deficiencies. The most beneficial elements include zinc, iron, vitamins A, D, E, and K, as well as folic acid and vitamin B12. Research also indicates that taking probiotic supplements helps restore gut balance and improve digestion.

Patients should avoid irritating foods such as tomatoes, citrus fruits, coffee, fried foods, and raw garlic. It is also preferable to have the last meal at least three hours before bedtime. Elevating the head during sleep with an extra pillow helps reduce acid reflux toward the esophagus.

Due to weakened bowel movement, it is advised to increase natural fiber intake found in whole grains, vegetables, and fruits. Daily walking or light exercise stimulates digestive movement. Consuming probiotic-rich yogurt and drinking adequate amounts of water daily helps maintain hydration.

Chronic inflammation is one of the most exhausting aspects for scleroderma patients. It can be reduced by eating colorful vegetables and fruits rich in antioxidants such as berries, carrots, spinach, and beets. Adding fatty fish like salmon and sardines as a natural source of omega-3 fatty acids is recommended. Nuts and olive oil help supply vitamin E necessary for tissue protection. In cases of persistent fatigue, it is preferable to eat small meals at regular intervals to avoid low blood sugar, drink enough water, and practice moderate exercise such as yoga or walking for half an hour daily.

Some scleroderma patients suffer from poor blood flow to the extremities, causing cold or ulcerated fingers. Regular exercise helps activate blood circulation, while consuming iron- and zinc-rich meats such as beef and chicken supports tissue regeneration and speeds wound healing.

Some patients have difficulty chewing or swallowing, which may lead to weight loss and malnutrition. In these cases, soft foods and nutritious liquids such as soups, yogurt, eggs, and steamed fish are recommended. Natural juices made by adding fresh fruits with milk or yogurt provide a complete, easy-to-swallow, protein-rich meal.

If continuous weight loss is observed over several months, a doctor should be consulted to assess the possibility of absorption disorders or bacterial overgrowth in the intestines. To gain weight healthily, it is advised to add beneficial vegetable oils such as olive oil and avocado to the diet and consume protein drinks between meals two to three times daily.

Drinking clean water in adequate amounts remains a fundamental factor in supporting the body. Doctors recommend consuming half the body weight in ounces of water daily, which is more than two liters for someone weighing about 68 kilograms. It is preferable to drink water from glass or steel bottles to avoid harmful plastic leaching.

Healthy nutrition enables scleroderma patients to better live with the disease, improve immunity, reduce inflammation, and slow tissue deterioration. Every balanced meal is a step toward a higher quality of life and greater ability to face daily challenges without exhausting the body or deteriorating organs.